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Individual

MS. AMANDA BROOK HAYNIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N. A. 2

Contact information

Practice address
810 W CHURCH ST, GREENEVILLE, TN 37745-3285
(423) 798-1749
(423) 798-1755
Mailing address
211 JOE HALE DR, GRAY, TN 37615-3868
(423) 791-0597

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary

Other

Enumeration date
05/03/2007
Last updated
07/08/2007
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